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Company Name : Texas Children’s Hospital
Location : Houston, TX
Position : Transaction Entry Clerk
Job Description : We are searching for a Transaction Entry Clerk — someone who works well in a fast-paced setting. In this position, you will enter all claims received for adjudication. You’ll open, sort and scan daily mail, data enter claims into the system, file, verify and update Coordination of Benefits (COB) information in the Claims system, create form letters and other duties as assigned.
Think you’ve got what it takes?
Responsibilities
Open, sort and scan daily mail received.
Data enters claims in the system
Verify Coordination of Benefits (COB) information in an external vendor’s system and update verified information in a web based application
Pull claims from filed batches, refile, work assigned work queues daily, print faxes and other duties and tasks as assigned
Create form letters for rejected claims
Complete special projects as requested
Open, sort into various categories, scan and data enter claims and miscellaneous documents into data entry system for uploading into claims processing system. Claims that are rejected for missing required information must be returned to the provider within 3 days from the date rejected
Sort, scan and key claims
Qualifications
Being fully vaccinated against COVID-19, including any booster dose(s) of the COVID-19 vaccine recommended by the Centers for Disease Control when eligible, is required for all employees at Texas Children’s, unless approved for a medical or religious exemption.
S. Diploma or GED Required
1 Year of Data Entry Experience Required
Claim Entry Experience Preferred
Company Profile
Texas Children’s Health Plan
The Texas Children’s Hospital system is the largest pediatric integrated care system and is an industry leader in pediatric population health. Founded in 1996, Texas Children’s Health Plan is the nation’s first health maintenance organization (HMO) created just for children and pregnant women. We are an Integrated Community System providing holistic care that empowers families to live healthier lives.
Texas Children’s Health Plan is also the largest combined STAR/CHIP Managed Care Organization in the Harris County service area. Currently, the Health Plan serves more than 450,000 members across three state territories (Harris, Jefferson, North East), who receive care from our network of more than 1,100 primary care physicians, 3,200 specialists, and 70 hospitals.
To join our community of 13,000 dedicated team members, visit www.texaschildrenspeople.org for career opportunities. You can also learn more about our amazing culture at www.infinitepassion.org At Texas Children’s Hospital, diversity, equity, and inclusion are at the core of our values and mission for the women and children that we serve. We are committed to providing a diverse and inclusive work environment for all faculty, staff and learners throughout our organization. We believe that each member of our one amazing team provides enrichment that allows us to create a lasting legacy for future employees of this great organization.
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